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Organization
REEM OBAISI, DDS, PC
Active
Organization
REEM OBAISI, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEM OBAISI (PRESIDENT)
(217) 871-0411
Entity
Organization
Contact information
Practice address
1629 S PRAIRIE AVE, UNIT 2307, CHICAGO, IL 60616-4403
(217) 871-0411
Mailing address
1629 S PRAIRIE AVE, UNIT 2307, CHICAGO, IL 60616-4403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027619
IL
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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